Pre Sim-Quiz
1. A 4-year-old patient admitted with dehydration has an order for
a urinalysis. What is the best and most appropriate way for the
nurse to collect the urine specimen? Midstream clean catch
2. The nurse is caring for a 4-year-old patient admitted with
suspected dehydration. What is the daily oral fluid maintenance
requirement in milliliters for the patient weighing 45 lb? ______
mL 1,510
3. A 4-year-old patient comes to the emergency room with a 3-day
history of vomiting and diarrhea. The patient weighed 21.8 kg
at a well-child checkup 1 month ago and now weighs 20.5 kg.
The nurse knows that the patient would be classified as having
which of the following levels of dehydration? Moderate
dehydration
4. The nurse is assessing a 4-year-old patient with a 4-day history
of vomiting and diarrhea. Which of the following sign(s) would
indicate that this patient is severely dehydrated? (Select all
that apply.) Cool, mottled extremities, Deeply sunken orbits
5. The nurse is obtaining a health history for a patient showing
signs of dehydration. Which of the following are considered
risk factor(s) for dehydration? (Select all that apply.) Vomiting,
Diabetic ketoacidosis, Excessive burns, Diarrhea
6. The nurse is preparing a 4-year-old patient for a clean-catch
urine specimen collection. Which of the following demonstrates
that the nurse understands developmentally appropriate
communication? 'Your mommy will use a special wipe to clean
your bottom and then will catch your pee-pee in a cup when
you go potty.'
7. The nurse is caring for a 4-year-old patient with dehydration
and hypovolemic shock. The patient received a 400-mL bolus of
normal saline over 15 minutes. On reassessment, which of the
following findings would indicate that the patient's condition is
improving? Increased urine output
8. A nurse caring for a 4-year-old patient admitted with
dehydration has an order to collect a stool specimen to test for
ova and parasites. The patient is ambulatory and has a recent
history of diarrhea and vomiting. What is the best method to
use to collect the stool specimen from this patient? Have the
, patient urinate first and then place a clean container under the
seat at the back of the toilet to collect the specimen.
9. The nurse is caring for a preschool-aged patient admitted with
dehydration. Which of the following measurements is the best
indicator of fluid status in this patient? Daily weight
SBAR Report
Situation
Eva is a 4 year-old patient in the ED being treated for dehydration
related to worsening vomiting and diarrhea
Background
Eva came to the ED this morning, with a 4-day history of vomiting
and diarrhea and inability to keep fluids down
Assessment
After bolus and medications, vital signs were HR 120, RR 25, BP
97/55, SpO2 98%
Urine analysis at the bedside was concentrated and had a strong
odor
Bowel sounds are hyperactive, capillary refill is 3 seconds, and
mucous membranes are dry
Recommendation
Continue to monitor for signs of dehydration and treat as ordered
1. A 4-year-old patient admitted with dehydration has an order for
a urinalysis. What is the best and most appropriate way for the
nurse to collect the urine specimen? Midstream clean catch
2. The nurse is caring for a 4-year-old patient admitted with
suspected dehydration. What is the daily oral fluid maintenance
requirement in milliliters for the patient weighing 45 lb? ______
mL 1,510
3. A 4-year-old patient comes to the emergency room with a 3-day
history of vomiting and diarrhea. The patient weighed 21.8 kg
at a well-child checkup 1 month ago and now weighs 20.5 kg.
The nurse knows that the patient would be classified as having
which of the following levels of dehydration? Moderate
dehydration
4. The nurse is assessing a 4-year-old patient with a 4-day history
of vomiting and diarrhea. Which of the following sign(s) would
indicate that this patient is severely dehydrated? (Select all
that apply.) Cool, mottled extremities, Deeply sunken orbits
5. The nurse is obtaining a health history for a patient showing
signs of dehydration. Which of the following are considered
risk factor(s) for dehydration? (Select all that apply.) Vomiting,
Diabetic ketoacidosis, Excessive burns, Diarrhea
6. The nurse is preparing a 4-year-old patient for a clean-catch
urine specimen collection. Which of the following demonstrates
that the nurse understands developmentally appropriate
communication? 'Your mommy will use a special wipe to clean
your bottom and then will catch your pee-pee in a cup when
you go potty.'
7. The nurse is caring for a 4-year-old patient with dehydration
and hypovolemic shock. The patient received a 400-mL bolus of
normal saline over 15 minutes. On reassessment, which of the
following findings would indicate that the patient's condition is
improving? Increased urine output
8. A nurse caring for a 4-year-old patient admitted with
dehydration has an order to collect a stool specimen to test for
ova and parasites. The patient is ambulatory and has a recent
history of diarrhea and vomiting. What is the best method to
use to collect the stool specimen from this patient? Have the
, patient urinate first and then place a clean container under the
seat at the back of the toilet to collect the specimen.
9. The nurse is caring for a preschool-aged patient admitted with
dehydration. Which of the following measurements is the best
indicator of fluid status in this patient? Daily weight
SBAR Report
Situation
Eva is a 4 year-old patient in the ED being treated for dehydration
related to worsening vomiting and diarrhea
Background
Eva came to the ED this morning, with a 4-day history of vomiting
and diarrhea and inability to keep fluids down
Assessment
After bolus and medications, vital signs were HR 120, RR 25, BP
97/55, SpO2 98%
Urine analysis at the bedside was concentrated and had a strong
odor
Bowel sounds are hyperactive, capillary refill is 3 seconds, and
mucous membranes are dry
Recommendation
Continue to monitor for signs of dehydration and treat as ordered
